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General NPI Number Information
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NPI Number | 1881159838
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Entity Type | Organization
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Legal Business Name | ARIZONA INSTITUTE OF UROLOGY PLLC
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 02/04/2019
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Provider Practice Location Address
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Address Line | 516 E WHITEHOUSE CANYON RD STE 160
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-0543
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Country | US
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Telephone | 520-618-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 4811 E GRANT RD STE 261
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City | TUCSON
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State | AZ
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Zip | 85712-2776
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Country | US
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Telephone | 520-618-1010
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Fax |
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Authorized Official
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Title or Position | ADMIN ASST
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Name | TAMMY ROMERO
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Credential |
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Telephone | 520-202-0490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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